Latest Articles
- Every action causes a reaction: the inevitable backlash against managed care
We should be wary of getting carried away with HMO-bashing, lest we create a nightmarish system that has all the limited choices of managed care—without reducing costs.
- The Bypass Angioplasty Revascularization Investigation (BARI) trial: implications for clinical practice
Both PTCA and CABG have their own inherent advantages and disadvantages, which must be weighed in the treatment decision for each patient.
- Successes in disease eradication: lessons for the future
Imminent success in eradicating polio and guinea worm infestation illustrates the importance of remaining steadfast in our support of basic and applied medical research.
- Eradication of polio and guinea worm disease
Two ancient scourges of mankind will soon follow smallpox into extinction if World Health Organization campaigns are successful.
- Fever, rash, and arthralgias in a male adolescent
A previously healthy boy presents with a 6-week history of intermittent fever, diffuse erythematous rash, and polyarthralgias.
- Changing diagnostic and treatment strategies for chronic sinusitis
Considerable debate continues over the nature and treatment of chronic sinusitis. Anaerobic bacteria and antibiotic-resistant organisms are complicating treatment.
- Peptic ulcer bleeding: perspectives on some common dilemmas
Not all patients with peptic ulcer bleeding need endoscopic therapy, intensive care, or even hospital admission; clinical signs and endoscopic findings determine the need for various levels of care.
- Smoking and the complications of diabetes mellitus
Even though persons with diabetes have more to gain from quitting smoking than those without diabetes, the prevalence of smoking in the diabetic population is surprisingly high.